Healthcare Provider Details

I. General information

NPI: 1699691006
Provider Name (Legal Business Name): LUNA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12425 RIVER RIDGE BLVD STE A104
BURNSVILLE MN
55337-4871
US

IV. Provider business mailing address

12425 RIVER RIDGE BLVD UNIT 2 SUITE A104
BURNSVILLE MN
55337-4871
US

V. Phone/Fax

Practice location:
  • Phone: 612-913-2744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAHRA ISMAIL MOHAMED
Title or Position: OWNER
Credential:
Phone: 612-913-9744